Τίτλος:
Cardiovascular pre-participation screening of young competitive athletes
for prevention of sudden death: proposal for a common European protocol
- Consensus statement of the Study Group of Sport Cardiology of the
Working Group of Cardiac Rehabilitation and Exercise Physiology and the
Working Group of Myocardial and Pericardial Diseases of the European
Society of Cardiology
Περίληψη:
The 1996 American Heart Association consensus panel recommendations
stated that pre-participation cardiovascular screening for young
competitive athletes is justifiable and compelling on ethical, legal,
and medical grounds. The present article represents the consensus
statement of the Study Group on Sports Cardiology of the Working Group
on Cardiac Rehabilitation and Exercise Physiology and the Working Group
on Myocardial and Pericardial diseases of the European Society of
Cardiology, which comprises cardiovascular specialists and other
physicians from different European countries with extensive clinical
experience with young competitive athletes, as well as with pathological
substrates of sudden death. The document takes note of the 25-year
Italian experience on systematic pre-participation screening of
competitive athletes and focuses on relevant issues, mostly regarding
the relative risk, causes, and prevalence of sudden death in athletes;
the efficacy, feasibility, and cost-effectiveness of population-based
pre-participation cardiovascular screening; the key role of 12-lead ECG
for identification of cardiovascular diseases such as cardiomyopathies
and channelopathies at risk of sudden death during sports; and the
potential of preventing fatal events. The main purpose of the consensus
document is to reinforce the principle of the need for pre-participation
medical clearance of all young athletes involved in organized sports
programmes, on the basis of (i) the proven efficacy of systematic
screening by 12-lead ECG (in addition to history and physical
examination) to identify hypertrophic cardiomyopathy-the leading cause
of sports-related sudden death-and to prevent athletic field fatalities;
(ii) the potential screening ability in detecting other lethal
cardiovascular diseases presenting with ECG abnormalities. The consensus
document recommends the implementation of a common European screening
protocol essentially based on 12-lead ECG.
Συγγραφείς:
Corrado, D
Pelliccia, A
Bjornstad, HH
Vanhees, L
Biffi,
A
Borjesson, M
Panhuyzen-Goedkoop, N
Deligiannis, A and
Solberg, E
Dugmore, D
Mellwig, KP
Assanelli, D
Delise, P
and van-Buuren, F
Anastasakis, A
Heidbuchel, H
Hoffmann, E
and Fagard, R
Priori, SG
Basso, C
Arbustini, E and
Blomstrom-Lundqvist, C
McKenna, WJ
Thiene, G
